Active NPI
Neil Krulewitz, D.O.
- Emergency Medicine Physician
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 10960778-1204
- Practice address
- 30 N 1900 E 1C026
Department of Emergency Medicine
Salt Lake City, UT 84123 - Phone
- (801) 581-2730
- NPI assigned
- Apr 19, 2017
- Last updated
- Dec 15, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 312199 | NY | |
| Emergency Medicine Physician | 207P00000X | 032-0133950 | VT | |
| Emergency Medicine Physician | 207P00000X | 10960778-1204 | UT | Primary |
Addresses
Primary practice location
30 N 1900 E 1C026
Department of Emergency Medicine
Salt Lake City, UT 84123
Mailing address
30 N 1900 E 1C026
Department of Emergency Medicine
Salt Lake City, UT 84123
Other practice location 1
75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 561-2000
Other practice location 2
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nkrulewitz244190@direct.med.utah.edu | Direct | University of Utah |
| Direct Messaging Address | nkrulewitz244190@direct.med.utah.edu | Direct | UNIVERSITY OF UTAH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY, NY, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000
75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 561-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 312199 | NY | MD | Licensed Practical Nurse |
| 032-0133950 | VT | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabethtown Community Hospital | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Champlain Valley Physicians Hospital Medical Center | Emergency Medicine | Current | Accepting new patients |
| University of Utah Adult Services | Current | Accepting new patients | |
| Elizabethtown Community Hospital | Current | Accepting new patients | |
| University of Vermont Medical Center Inc | Emergency Medicine | Current | Accepting new patients |
| Elizabethtown Community Hospital | Current | Accepting new patients |
Locations
75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415
1200 College Dr
Rock Springs, WY 82901
Phone (307) 352-8352
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/elizabe-e663f886
- nkrulewitz430307@direct.uvmhealth.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Plattsburgh, NY
- NPI 1124189782
Emergency Medicine
-
dba Uvm Medical Center
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
Emergency Medicine
-
- General Practice Physician
- Elizabethtown, NY
- NPI 1053656744
-
- Medicare Defined Swing Bed Hospital Unit
- Elizabethtown, NY
- NPI 1407061591
-
- Critical Access Hospital
- Elizabethtown, NY
- NPI 1891785184
-
dba MEMORIAL HOSPITAL SWEETWATER-Vascular Lab
- Vascular Surgery Physician
- Rock Springs, WY
- NPI 1104204361
-
dba WYOMING DOCTOR'S OFFICE-Cardiology
- Cardiovascular Disease Physician
- Rock Springs, WY
- NPI 1255719407
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plattsburgh, NY
- NPI 1033270699
-
dba Elizabethtown Community Hospital Transport
- Ambulance
- Elizabethtown, NY
- NPI 1487923637
Hospital
-
- Critical Access Hospital
- Elizabethtown, NY
- NPI 1891785184
-
- General Acute Care Hospital
- Burlington, VT
- NPI 1568419976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639526400000",
"number": "1083148837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 N 1900 E 1C026",
"address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N 1900 E 1C026",
"address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84123",
"telephone_number": "801-581-2730"
}
],
"practiceLocations": [
{
"address_1": "75 Beekman St",
"address_purpose": "LOCATION",
"city": "Plattsburgh",
"state": "NY",
"postal_code": "129011438",
"country_code": "US",
"telephone_number": "518-561-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 Colchester Ave",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "VT",
"postal_code": "054011473",
"country_code": "US",
"telephone_number": "802-847-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRULEWITZ",
"first_name": "NEIL",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-19",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "312199",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VT",
"license": "032-0133950",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "UT",
"license": "10960778-1204",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nkrulewitz244190@direct.med.utah.edu",
"affiliation": "Y",
"affiliationName": "University of Utah",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "50 N Medical Dr",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841320001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nkrulewitz244190@direct.med.utah.edu",
"affiliation": "Y",
"affiliationName": "UNIVERSITY OF UTAH",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "50 N Medical Dr",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841320001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.